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1871150417
MUKTAR FARAH
MINNEAPOLIS, MN
NPI
1871150417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MN D14215)
Enumeration Date
2019-05-20
Last Update Date
2019-05-20
Business Address
MUKTAR FARAH DDS
115 BROADWAY ST NE
MINNEAPOLIS, MN 55413-1805
Phone number: 612-326-1300
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Mailing Address
MUKTAR FARAH DDS
115 BROADWAY ST NE
MINNEAPOLIS, MN 55413-1805
Phone number: 612-326-1300
Copy
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